# MT PLEASANT OPHTHALMOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346267945
- **Authorized official:** DIANA M MCMILLAN (OFFICE MANAGER)
- **Authorized official phone:** (843) 884-2015

## Contact information

- **Practice address:** 1705 BEAUCASTEL RD, MT PLEASANT, SC 29464-3657
- **Practice address phone:** (843) 884-2015
- **Practice address fax:** (843) 881-7068
- **Mailing address:** 1705 BEAUCASTEL RD, MT PLEASANT, SC 29464-3657
- **Mailing address phone:** (843) 884-2015
- **Mailing address fax:** (843) 881-7068

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 11/10/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3030 | — | SC |